ECG Report Templates

ECG Report Templates
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TID 3700 ECG Report

The ECG Report template is the root structure for the representation of analysis of an ECG waveform, potentially in comparison to a prior ECG waveform analysis. The analyzed waveform may or may not be stored as a DICOM SOP Instance.

Type:: Extensible
Order:: Significant
Root:: Yes

Table TID 3700. ECG Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (28010-7, LN, "ECG Report")	1	M	Root node
2	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1	U	DCID 3670 “ECG Procedure Types”
3	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	M
4	>	CONTAINS	INCLUDE	DTID 1002 “Observer Context”	1-n	M
5	>	CONTAINS	CONTAINER	EV (121109, DCM, "Indications for Procedure")	1	U
6	>>	CONTAINS	CODE	EV (121071, DCM, "Finding")	1-n	U	DCID 3671 “Reason for ECG Exam”
7	>>	CONTAINS	TEXT	EV (121071, DCM, "Finding")	1	U
8	>	CONTAINS	INCLUDE	DTID 3802 “Cardiovascular Patient History”	1	U
9	>	CONTAINS	INCLUDE	DTID 3704 “Patient Characteristics for ECG”	1	U
10	>	CONTAINS	INCLUDE	DTID 3702 “Prior ECG Exam”	1	U
11	>	CONTAINS	INCLUDE	DTID 3708 “ECG Waveform Information”	1	M
12	>	CONTAINS	CONTAINER	EV (122144, DCM, "Quantitative Analysis")	1	M
13	>>	CONTAINS	INCLUDE	DTID 3713 “ECG Global Measurements”	1	U
14	>>	CONTAINS	INCLUDE	DTID 3714 “ECG Lead Measurements”	1-n	U	One instantiation per reported lead
15	>	CONTAINS	INCLUDE	DTID 3717 “ECG Qualitative Analysis”	1	U
16	>	CONTAINS	INCLUDE	DTID 3719 “Summary, ECG”	1	U

TID 3701 Clinical Context, ECG (Retired)

This Template has been retired (see PS3.16-2009).

TID 3702 Prior ECG Exam

Type:: Extensible
Order:: Significant

Table TID 3702. Prior ECG Exam

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1		CONTAINS	CONTAINER	EV (121066, DCM, "Prior Procedure Descriptions")	1	M
2	>	CONTAINS	CODE	EV (122140, DCM, "Comparison with Prior Exam Done")	1	M	DCID 230 “Yes-No”
3	>	CONTAINS	DATETIME	EV (122146, DCM, "Procedure DateTime")	1	U
4	>	CONTAINS	UIDREF	EV (121018, DCM, "Procedure Study Instance UID")	1	U
5	>	CONTAINS	COMPOSITE	EV (122075, DCM, "Prior report for current patient")	1	U
6	>	CONTAINS	WAVEFORM	EV (121112, DCM, "Source of Measurement")	1	U

TID 3704 Patient Characteristics for ECG

Type:: Extensible
Order:: Significant

Table TID 3704. Patient Characteristics for ECG

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121118, DCM, "Patient Characteristics")	1	M
2	>	CONTAINS	NUM	EV (121033, DCM, "Subject Age")	1	M	UNITS = DCID 7456 “Units of Measure for Age”
3	>	CONTAINS	CODE	EV (121032, DCM, "Subject Sex")	1	M	DCID 7455 “Sex”
4	>	CONTAINS	NUM	EV (8302-2, LN, "Patient Height")	1	U	UNITS = EV (cm, UCUM, "cm")
5	>	CONTAINS	NUM	EV (29463-7, LN, "Patient Weight")	1	U	UNITS = EV (kg, UCUM, "kg")
6	>	CONTAINS	NUM	EV (F-008EC, SRT, "Systolic Blood Pressure")	1	U	UNITS = DCID 3500 “Pressure Units”
7	>	CONTAINS	NUM	EV (F-008ED, SRT, "Diastolic Blood Pressure")	1	U	UNITS = DCID 3500 “Pressure Units”
8	>	CONTAINS	CODE	EV (109054, DCM, "Patient State")	1	U	DCID 3262 “ECG Patient State Values”
9	>	CONTAINS	CODE	EV (R-00728, SRT, "Pacemaker in situ")	1	U	DCID 3672 “Pacemakers”
10	>	CONTAINS	CODE	EV (R-0077C, SRT, "ICD in situ")	1	U	DCID 3692 “ICDs”

TID 3708 ECG Waveform Information

The ECG Waveform Information template provides reference to, and important parameters of, the analyzed waveform.

Type:: Extensible
Order:: Significant

Table TID 3708. ECG Waveform Information

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121064, DCM, "Current Procedure Descriptions")	1	M
2	>	CONTAINS	WAVEFORM	EV (121112, DCM, "Source of Measurement")	1	U
3	>	CONTAINS	CODE	EV (10:11345, MDC, "Lead System")	1	U	DCID 3263 “Electrode Placement Values”
4	>	CONTAINS	TEXT	EV (122142, DCM, "Acquisition Device Type")	1	U
5	>	CONTAINS	TEXT	EV (121122, DCM, "Equipment Identification")	1	U
6	>	CONTAINS	INCLUDE	DTID 1003 “Person Observer Identifying Attributes”	1	U	Person performing the ECG acquisition
7	>	CONTAINS	TEXT	EV (121121, DCM, "Room Identification")	1	U
8	>	CONTAINS	DATETIME	EV (122146, DCM, "Procedure DateTime")	1	M
9	>	CONTAINS	NUM	DCID 3690 “ECG Control Variables Numeric”	1-n	U
10	>	CONTAINS	TEXT	DCID 3691 “ECG Control Variables Text”	1-n	U
11	>	CONTAINS	INCLUDE	DTID 4019 “CAD Algorithm Identification”	1	U

TID 3713 ECG Global Measurements

The ECG Global Measurements Template provides a structure for measurements calculated across the ECG waveform as a whole (multiple leads).

As an Extensible Template, applications may include any ECG global measurements, such as angles of the electrical vector of various ECG waves. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:: Extensible
Order:: Significant

Table TID 3713. ECG Global Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (122158, DCM, "ECG Global Measurements")	1	M
2	>	HAS OBS CONTEXT	INCLUDE	DTID 3715 “ECG Measurement Source”	1	U
3	>	CONTAINS	NUM	DT (2:16020, MDC, "Atrial Heart Rate")	1	U	UNITS = EV ({H.B.}/min, UCUM, "BPM")
4	>	CONTAINS	NUM	DT (2:16016, MDC, "Ventricular Heart Rate")	1	M	UNITS = EV ({H.B.}/min, UCUM, "BPM")
5	>	CONTAINS	NUM	DT (2:16160, MDC, "QT interval global")	1	M	UNITS = EV (ms, UCUM, "ms")
6	>	CONTAINS	NUM	DT (2:15876, MDC, "QTc interval global")	1	U	UNITS = EV (ms, UCUM, "ms")
7	>>	HAS PROPERTIES	CODE	DT (111001, DCM, "Algorithm Name")	1	U	DCID 3678 “Qt Correction Algorithms”
8	>	CONTAINS	NUM	DT (2:15872, MDC, "PR interval global")	1	M	UNITS = EV (ms, UCUM, "ms")
9	>	CONTAINS	NUM	DT (2:16156, MDC, "QRS duration global")	1	M	UNITS = EV (ms, UCUM, "ms")
10	>	CONTAINS	NUM	DT (2:16168, MDC, "RR interval global")	1	M	UNITS = EV (ms, UCUM, "ms")
11	>	CONTAINS	NUM	DCID 3689 “ECG Global Waveform Durations”	1-n	U	UNITS = EV (ms, UCUM, "ms")
12	>	CONTAINS	NUM	DCID 3229 “ECG Axis Measurements”	1-n	U	UNITS = EV (deg, UCUM, "deg")
13	>	CONTAINS	NUM	DT (2:16032, MDC, "Count of all beats")	1	U	UNITS = EV ({beats}, UCUM, "beats")
14	>	CONTAINS	NUM	DT (122707, DCM, "Number of Ectopic Beats")	1	U	UNITS = EV ({beats}, UCUM, "beats")
15	>>	HAS PROPERTIES	CODE	EV (G-C504, SRT, "Associated Morphology")	1-n	U	BCID 3234 “Ectopic Beat Morphology”

TID 3714 ECG Lead Measurements

The ECG Lead Measurements Template provides a structure for measurements calculated on individual ECG leads.

As an Extensible Template, applications may include any ECG per lead measurements, such as integrals over time of various ECG wave voltages. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:: Extensible
Order:: Significant

Table TID 3714. ECG Lead Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (122159, DCM, "ECG Lead Measurements")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (122148, DCM, "Lead ID")	1	M	BCID 3001 “ECG Leads”
3	>	HAS OBS CONTEXT	INCLUDE	DTID 3715 “ECG Measurement Source”	1	U
4	>	CONTAINS	NUM	DCID 3687 “Electrophysiology Waveform Durations”	1-n	U	UNITS = EV (ms, UCUM, "ms")
5	>	CONTAINS	NUM	DCID 3688 “Electrophysiology Waveform Voltages”	1-n	U	UNITS = EV (mV, UCUM, "mV")
6	>	CONTAINS	CODE	EV (F-38035, SRT, "ST Segment Finding")	1	U	DCID 3233 “ST Segment Morphology”
7	>	CONTAINS	CODE	EV (121071, DCM, "Finding")	1-n	U	DCID 3680 “ECG Lead Noise Descriptions”

TID 3715 ECG Measurement Source

The ECG Measurement Source Template provides a structure for identifying the particular cardiac cycle, or beat, in an analyzed ECG waveform used for the measurement group for which this template provides Observation Context. The cardiac cycle is identified by beat number, and optionally by specific temporal coordinates within a DICOM ECG Waveform SOP Instance.

Type:: Extensible
Order:: Significant

Table TID 3715. ECG Measurement Source

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			TEXT	EV (122149, DCM, "Beat Number")	1	U	Up to three numeric characters
2			CODE	EV (G-C036, SRT, "Measurement Method")	1	U	DCID 3676 “Lead Measurement Technique”
3			TCOORD	EV (121112, DCM, "Source of Measurement")	1	U
4	>	SELECTED FROM	WAVEFORM		1	U

Content Item Descriptions

Row 1

Beat Number is specified as a numeric text string, and shall be treated as the ordinal of the beat (cardiac cycle) within the waveform acquisition for this lead that was analyzed for the measurements in this container (i.e., "1" for the first beat, "2" for the second, etc.). If absent, the measurements may have been made by a technique across multiple cycles as specified in Row 2 Measurement Method.

Rows 3 and 4

Source of measurement identify the specific channel and time period within a DICOM ECG Waveform SOP Instance that was analyzed for the measurements in this container.

TID 3717 ECG Qualitative Analysis

The ECG Qualitative Analysis template allows a free text qualitative interpretation of the analyzed ECG, as well as a structure for a coded analysis.

Type:: Extensible
Order:: Significant

Table TID 3717. Qualitative Analysis, ECG

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		CONTAINS	CONTAINER	EV (122145, DCM, "Qualitative Analysis")	1	M
2	>	CONTAINS	TEXT	EV (F-00033, SRT, "ECG Finding")	1	MC	At least one of rows 2 and 3 shall be present
3	>	CONTAINS	CODE	EV (F-00033, SRT, "ECG Finding")	1-n	MC	At least one of rows 2 and 3 shall be present	BCID 3230 “ECG Findings”
4	>>	HAS CONCEPT MOD	TEXT	EV (121051, DCM, "Equivalent Meaning of Value")	1	U		Interpretive statement
5	>>	INFERRED FROM	CODE	EV (F-00033, SRT, "ECG Finding")	1-n	U		No BCID; may use implementation-specific codes
6	>>>	HAS CONCEPT MOD	TEXT	EV (121051, DCM, "Equivalent Meaning of Value")	1	U		Interpretive statement

Content Item Descriptions

Row 3-4	ECG Finding provides one or more coded interpretive statements using standard or implementation-specific codes. Each coded finding will include a Code Meaning (0008,0104) using the LO Value Representation (64 characters); longer human-readable text strings may be conveyed in the Row 4 Equivalent Meaning of Value Content Item..
Row 5-6	Each primary ECG Finding of Row 3 may have multiple supporting coded findings in Row 5, with longer human-readable text strings if necessary in Row 6.

TID 3718 ECG Interpretive Statement (Retired)

This Template is retired. See PS3.16-2009.

TID 3719 Summary, ECG

Type:: Extensible
Order:: Significant

Table TID 3719. Summary, ECG

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1		CONTAINS	CONTAINER	EV (121111, DCM, "Summary")	1	M
2	>	CONTAINS	TEXT	EV (121111, DCM, "Summary")	1	U
3	>	CONTAINS	CODE	DT (18810-2, LN, "ECG overall finding")	1	U	DCID 3677 “Summary Codes ECG”

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